MEDICAL DESIGN & OUTSOURCING - March 2018

Page 43

REMOTE SURGERY

The plan is for Spectrum Healthcare’s Madder to operate the CorPath system from a remote site for a procedure performed at Calvin College. “We'll have successfully completed a remote animal procedure within the quarter. We have a series of animal labs planned with Mayo this year and next year that will go from that progression of a few rooms away up to metropolitan and wide area networks. And we have a goal as a company to leverage what we've learned for a proof of concept, first-inhuman PCI done remotely within the next 10 to 14 months.” The benefits of remote stenting could be huge, Corindus’ Wenderow noted, delivering an enormous boost to the availability of life-saving procedures the world over. “The city of Beijing has a population north of 23 million. The outpatient population at Beijing’s Buwai hospital is north of 100 million, so people are flocking into Beijing for

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healthcare, and Buwai has a plan to set up a satellite hospital network for Corindus,” Teany said. “They’re a part of the world that I think is primed for this.” CorPath might be a better candidate for remote procedures because of the nature of heart attack and ischemia, Wenderow added. Mayo Clinic data shows that even though U.S. PCI capabilities grew 44%, access to the procedure only increased 1%, he said. “These are not elective procedures. These are procedures we have to treat right now. And when you look at rural health and rural populations, whether it's in the U.S. or worldwide, the time for the patient to get to the hospital is very long,” Wenderow said, noting that “doorto-balloon” time, the time between admission and catheter balloon treatment, is a key metric. “The gold standard today is below 90 minutes. Almost all hospitals are doing that. However, we think the problem is not door-to-balloon, it’s ischemia – from the onset of ischemia all the way to treatment with the catheter. That’s a challenge today,” he said. M

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